SPECIAL CONSIDERATION

STUDENT PROFILE SHEET

(To be completed 30 days in advance of conference if student
needs individual supervision or other special assistance
throughout the conference)

Student Name
Age
Grade
School
Region
Coordinator
Phone
Email
Contest Entering
Level 1 Level 2 Unleveled

Please indicate below if this student will need special considerations or

preparations at any time during the CTI Leadership Conferences: (Example: An
enlarged print test for visually impaired student, individualized supervision,
interpreter, wheelchair access, etc.)